An up-to-date review of the full range of affirmative treatments and therapies for lesbian and gay clients.

A major text for clinicians and researchers who have an interest in homosexuality and homosexual patients with mental disorders, this book is an up-to-date review as well as a handbook covering the full range of affirmative treatments and therapies for lesbian and gay clients. Expert contributors look at problems caused by stigma and homophobic societal attitudes and discuss methods that can be used to work with gay clients in a positive context. Other issues of particular importance in working with lesbians and gay men are addressed.

This book bridges psychoanalytic thought and sexual science. It brings sexuality back to the center of psychoanalysis and shows how important it is for students of human sexuality to understand motives that are often irrational and unconscious. The authors present a new perspective about male and female development, emphasizing the ways in which sexual orientation and homophobia appear early in life. The clinical section of the book focuses on the psychodynamics and treatment of homophobia and internalized homophobia.

The authors argue that there is little support for assuming that homosexuality has a biological basis. Recognizing the many pathways that lead to same-gender sexual orientation, the authors conclude that the cause is much less important than understanding the meaning of being homosexual.

In 1973, after several years of bitter dispute, the Board of Trustees of the American Psychiatric Association decided to remove homosexuality from its official list of mental diseases. Infuriated by the Board's action, a substantial number of dissident psychiatrists charged the association's leadership with capitulating to the pressures of Gay Liberation groups, and forced the board to submit its decision to a referendum of the full APA membership. Ronald Bayer presents a political analysis of the psychiatric battle involved, from the first confrontations organized by gay demonstrators at psychiatric conventions to the referendum initiated by orthodox psychiatrists. The result is a fascinating view of the individuals who led the debate and the fundamental questions that engaged them: social and cultural values, the definition of disease, and the nature of sexuality. Available for the first time in paperback, the book includes a new afterword by the author.

The psychiatric view of homosexuality has undergone a fascinating evo lution in recent years. This includes not only the change from viewing homosexuality as a diagnosable illness, as opposed to an alternative life style, but also the development of considerable professional concern for providing appropriate mental health services to this previously under served minority community. There has been an increasing recognition of the need for comprehensive services including, but not limited to, counseling, individual psychotherapy, and couples therapy. This book is written for the practicing clinician, and offers a compre hensive survey of the important clinical issues involved in the counsel ing and psychotherapy of gay men and lesbian women. It is an extraor dinarily practical book and its breadth and depth make it appropriate for both the novice and the experienced therapist. SHERWYN M. WOODS Series Editor ix Preface We hear our mentors but do not often heed them. Freud's supportive, nonjudgmental approach to homosexuality provided an ambience with in which discoveries could be made, that is, the discovery that homosex uality was not a disease of mental degeneration and that sexuality, in the sense of a fundamental human propensity to find pleasure in social and physical attachments, was at its root directed to both sexes. The ad herence to a nonjudgmental approach was short-lived, suffered repres sion by homophobic defenses, and scientific zeal was directed toward "cure" rather than comprehension of the homosexual state.